Basic Information
| Provider Information | |||||||||
| NPI: | 1295921518 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PRITHIPAL S. SETHI M.D., INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3133 W MARCH LN STE 303 | ||||||||
| Address2: | |||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952192336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094643627 | ||||||||
| FaxNumber: | 2094643630 | ||||||||
| Practice Location | |||||||||
| Address1: | 8715 CENTER PKWY | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958237921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9162458888 | ||||||||
| FaxNumber: | 9169243386 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2007 | ||||||||
| LastUpdateDate: | 07/18/2022 | ||||||||
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| AuthorizedOfficialLastName: | SETHI | ||||||||
| AuthorizedOfficialFirstName: | PRITHIPAL | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2094643627 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 07/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | A86412 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Urology |
No ID Information.